A good therapist works a bit like a good masseuse.

You have probably felt a knot lodged in your neck or shoulders - that particular, stubborn tightness that does not ease no matter how you turn your head. Muscle knots like this are small, painful points in the muscle, often caused by stress, tension, or old injuries we never quite dealt with. And the truth is, most of us are carrying an emotional version of the same thing.

While I was having my own shoulders worked on recently, the parallel struck me: therapy works the same way. We come to see someone when we can no longer manage the knot alone. We know it will hurt a little to have it pressed - knots do hurt - but we also know we will feel better once it starts to release.

Understanding, Not Just Relief

The difference between a good therapist and a great one is the same as the difference between a masseuse who just works the muscle and one who also helps you understand how the knot got there in the first place - your posture, your patterns, what you have been carrying. Because in order to change something, we first need to understand why it is there. Adults do not just take instruction the way children sometimes do; we need the logic to make sense to us before we are willing to do something differently.

I love this analogy because it is so accurate to how the work actually feels. There is a pain. The questions press on it, gently but firmly enough to start loosening it. It takes time to untangle a large knot - sometimes longer than we would like - but it is possible, once we can see how it was tied in the first place.

I have written this partly in response to how popular the promise of a quick fix has become - the idea that anything can be resolved in one or two sessions. I am not against fast, focused work; I use brief interventions in my own practice and find them genuinely useful. But I also know how important it is to work the knot properly before building anything new on top of it.

Thank you for reading, as always - I would love to know your thoughts.
Agatha x